Presenter Disclosure Information In compliance with the accrediting board policies, the American Diabetes Association requires the following disclosure.

Similar presentations

Presentation on theme: "Presenter Disclosure Information In compliance with the accrediting board policies, the American Diabetes Association requires the following disclosure."— Presentation transcript:

4
Diagnosed with type 1 while preparing for 2002 Winter Olympics Told he must stop competing Took a personal approach and competed in the 2006 Olympics

5
Douglas Cairns – First to Fly Solo Around the World Flight instructor with Britain’s Royal Air Force Lost license when diagnosed with type 1 Told by Air Force, “You are a diabetic and you WERE a pilot.” Took a personal approach and flew 159 days around the world.

6
Advice from Kris and Douglas: “Learn as much as you can about the disease…learn as much as you can about the treatments…learn as much as you can about [which] diets will work for you to help you achieve whatever dream you have.”

7
Why a Personal Approach? Patients will carry out self-management tasks more consistently and over a longer period of time if they were freely chosen by patients.* Anderson RM, Funnell MM. (2005) The Art of Empowerment: Stories and Strategies for Diabetes Educators. 2 nd Ed. Alexandria, VA: ADA

8
Why Encourage a Personal Approach? Makes patient more self-sufficient Reduces emergencies – They can treat more issues before they become urgent…without calling YOU. Relieves us of guilt – we give them “Roots and Wings.”

9
How to Encourage Personalized Care Guilt Options

10
Remove the Guilt “Perfect control isn’t possible, even when we’re doing everything perfectly…and no one does, because we’re humans first and we live with diabetes second.” Betty Brackenridge - coauthor Diabetes Myths, Misconceptions, and Big Fat Lies

11
How Many Patients Think We See Them

12
Asked of 6,500 dLife.com Message Board Members… “Did your health care provider ever say or do anything that could make patients lose the desire to care for their diabetes?”

13
Shelly… “When I was a kid my doctor told me that I was the worst type 1 diabetic that he had ever seen! That wasn't really too motivating for me. I just continued down the same path. Why take care of it?”

14
Rich… “If my endo didn’t think your numbers were good enough, he chewed you out and said that HE had given you the right instructions and if you had followed them you would have good numbers. He was so condescending. He treated his patients like they were naughty children.”

15
Options

16
Begin with Comforting Facts With good care, you can live a long, healthy life with diabetes. Your diabetes is not your fault. Diabetes doesn’t have to run your life. Ref: behavioraldiabetes.org

17
Personalizing Blood Glucose Control Laura Menninger, the “Glucose Goddess” “Your meter is like a compass to a mountain climber. It tells you where you’re at so you can reach your goal.”

18
Tom… “Do not tell your patients they only need to test their blood once a day. This seems to be the result of the view that diabetics are non- compliant. Patients can learn to be compliant. Testing once a day is not enough and should not be an option.”

19
Blood Glucose Testing Let your patients know: – When to check their blood – How to interpret the results – What to do with the results – That you care about their results…(PLEASE look at their testing diaries!)

20
Chuck… “I can live with a lot, but a doctor that simply knows the numbers for the average diabetic and doesn't adjust them for the individual, will not see me a second time.”

22
High BG prior to a meal: – Wait a bit before eating – Take smaller portion of next meal – Do light activity – brisk walk – Break up upcoming meal into small snacks or save fruit for later – Take medication, if instructed to do so

23
High BG following a meal – Take a gentle walk or do light exercise – Drink generous serving of water – Delay next snack – Take additional medicine as directed or use insulin correcting technique

24
Insulin Correcting Estimate number of insulin units you take in typical day Divide total into 1,800 Answer is insulin correction number – the amount of points a single unit of rapid-acting insulin should bring blood glucose level down within ~4 hours Extremely empowering!

28
“Jump Start Pledge” Guilt-free way to add new health behaviors to your life Choose a small, measureable goal Pledge to keep it for a single week At the end of one week… 1.Renew your pledge 2.Change your pledge to fit you better 3.Add another pledge to your week

29
Jump Start Pledge “I like the Jump Start Pledge. It has given me something to strive for. It makes me commit to a goal and be accountable. It has created good habits and made me let go of bad ones. In my Jump Start pledge, I pledged to exercise 4 days this week. I have met that goal and now it’s a habit. -Clarissa “HURRAY! I kept my JSP from last week. I walked all 7 days. The weather was so good yesterday and today that I walked outdoors. That was great!” -Richard

30
Jump Start Pledge Totally guilt-free. If you were unable to complete your pledge, it wasn’t right for you. Adjust it to fit you better and try again. Post Jump Start Pledges at

31
A Personal Approach to Meal Planning Meet with an RD/CDE – Can create a personalized meal plan – Will help patient succeed on current plan

38
Personal Approach to Medication Include patient in medication decision Explain how they work and what they do “The last medication my doctor considered, he picked up his computer and checked the side effects because he knew I would as soon as I got home! He has also become more positive over the years because he knows I take care of my self and pay attention.” - Roger

41
Empower Your Patients Respect their opinion Be open to the information they bring Focus on them during appointments Don’t insult them, especially when they offer alternative suggestions Stay current and offer new information

44
Final Word “The best things my doctor ever told me is that it is in my hands as to how much of a negative impact diabetes is going to have on my health and life, and that he believes in me.” – Shire (type 2)